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Postoperative dreaming. A comparison of the incidence following pentazocine and morphine premedication

Anaesthesia
|May 1, 1983
PubMed

Insights

Postoperative dreaming incidence did not differ between morphine and pentazocine premedicants in healthy volunteers. Further discussion addresses psychotomimetic issues and hallucination definition challenges.

Area of Science:

  • Anesthesiology
  • Pharmacology
  • Psychiatry

Background:

  • Preoperative medication influences the patient's postoperative experience.
  • Opioid analgesics like morphine and pentazocine are commonly used for pre-anesthetic medication.
  • Postoperative dreaming and psychotomimetic effects are potential adverse events.

Purpose of the Study:

  • To compare the incidence of postoperative dreaming between morphine and pentazocine when used as premedicants.
  • To explore the underlying causes of postoperative psychotomimetic phenomena.
  • To discuss the challenges in defining and quantifying hallucinations in a clinical setting.

Main Methods:

  • A comparative study involving healthy volunteers.
  • Administration of morphine or pentazocine as part of a standard anesthetic sequence.
  • Assessment of postoperative dreaming incidence.

Main Results:

  • No statistically significant difference in postoperative dreaming was observed between the morphine and pentazocine groups.
  • The study provides a direct comparison of these two commonly used premedicants regarding a specific side effect.

Conclusions:

  • Morphine and pentazocine appear to have similar effects on postoperative dreaming in this context.
  • Further research may be needed to fully understand and mitigate postoperative psychotomimetic effects and improve the definition of hallucinations.

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